VANESSA C CASTOR Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

INOPERATIVE

Business

First Name

VANESSA

Middle

Last Name

CASTOR

Business Name

VANESSA C CASTOR

Original Issue Date

11/05/2018

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60613

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/03/2022